Traumatic Diaphragm Rupture

Traumatic diaphragmatic rupture is more common on the left side in a similar way that the congenital diaphragmatic Bochdalek's hernia occurs on the left side. It is frequently diagnosed when the nasogastric tube in a trauma patient enters the stomach which is found to be in the left chest. Injuries may be missed initially when the x-ray is misread as an elevated left hemidiaphragm or dilated stomach bubble. Simply passing a nasogastric tube, however, will confirm the diagnosis, or if there is still question an oral contrast agent may be given. Exploratory laparotomy and repair of the diaphragmatic remnant will cure the problem.

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